MÔ HÌNH BỆNH TẬT CHUYỂN TUYẾN CỦA BỆNH NHÂN SƠ SINH TẠI BỆNH VIỆN NHI THANH HÓA GIAI ĐOẠN 2017 - 2022

Abstract

Objective: Newborns are children counted from birth to the first 28 days of age, a sensitive period with many potential pathological risks. It is necessary to investigate the neonatal referral disease pattern. This study was conducted with two objectives: 1) Determine the central referral rate of newborn patients for medical examination and treatment at Thanh Hoa Children's Hospital in the years from 2017 to 2021; and 2) Survey on disease patterns of central referral of neonatal patients at Thanh Hoa Children's Hospital in the period 2017-2021. Methodology: The cross-sectional study design was used with data collected retrospectively from medical records from the Department of Neonatology and Neonatal Intensive Care Unit, Thanh Hoa Children's Hospital during the period from January 01, 2017 to December 31, 2021. Variables on children's personal information and referral pathologies were collected. Results: Among 955 neonatal referral patients, the average referral rate of neonatal patients was 4.93%, of which the rate of referral of the Department of Obstetrics and Gynecology (12.79%) was higher than that of the Department of Neonatology (1.69%). The rate of referral patients was the highest in 2018, the lowest in 2017, the rate of referral in 2021 decreased compared to 3 years before 2018, 2019, 2020. The referral patients were mainly under 7 days old and were male patients. Regarding the patient model of neonatal referral, patients transferred to the hospital for many different diseases, in addition to neonatal diseases, are related to other specialties. The most common groups of hospital admissions of neonatal patients were preterm birth, respiratory failure, and cardiovascular disease, respectively. Conclusions:It is necessary to improve the quality of care for preterm patients at the Hospital. In order to limit the number of premature patients, the hospital needs to ensure sterile care conditions, ensure infection control, ensure water sources, and periodically check, maintain and calibrate equipment. In addition, it is necessary to monitor compliance with professional procedures better to minimize the risk of infection for patients, especially preterm subjects. In addition, in order to limit the transfer of newborn patients, it is also necessary for the joint development of many specialties in the hospital in the process of treating patients.